Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.96 / $2,626.00 / $7,307.00	Facility		$160.96	$2,626.00	$7,307.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,817.10 / $2,817.10 / $2,817.10	Facility	50	$2,817.10	$2,817.10	$2,817.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $163.28 / $379.32	Professional		$105.00	$163.28	$379.32
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $43.50 / $210.41 / $470.67	Professional	50	$43.50	$210.41	$470.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $66.98 / $133.97	Professional		$66.98	$66.98	$133.97
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $189.13 / $189.13 / $189.13	Professional	50	$189.13	$189.13	$189.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.70 / $153.04 / $342.30	Professional		$120.70	$153.04	$342.30
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $181.05 / $229.56 / $534.66	Professional	50	$181.05	$229.56	$534.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $164.59 / $164.59 / $4,050.00	Facility		$164.59	$164.59	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $210.90	Professional		$164.59	$164.59	$210.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.18 / $192.65 / $14,648.00	Facility		$126.18	$192.65	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.79 / $175.88 / $396.89	Professional		$100.79	$175.88	$396.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $170.20 / $332.00	Facility		$100.00	$170.20	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.30 / $193.60 / $302.22	Professional		$158.30	$193.60	$302.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $133.52 / $268.35	Professional		$80.06	$133.52	$268.35
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $58.57 / $123.91 / $168.53	Professional		$58.57	$123.91	$168.53
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.06 / $172.98 / $183.60	Professional		$148.06	$172.98	$183.60
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $213.72 / $258.05 / $276.89	Professional	50	$213.72	$258.05	$276.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $126.18 / $555.00 / $74,999.25	Facility		$126.18	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $106.89 / $181.36 / $429.67	Professional		$106.89	$181.36	$429.67
United Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $2,744.00 / $4,840.00	Facility		$767.00	$2,744.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $161.97 / $355.68	Professional		$123.00	$161.97	$355.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $159.25 / $159.25 / $352.43	Facility		$159.25	$159.25	$352.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $159.25 / $318.35	Professional		$80.06	$159.25	$318.35